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Individual

KRISTEN NICOLE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3008929
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300019945
IN
01
3008929
STATE LICENSE
KY
05
7100372210
KY
Enumeration date
09/15/2014
Last updated
07/15/2026
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